| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.69 | $16.69 | $16.69 | |
Aetna
| Professional | $13.85 | $13.85 | $16.69 | |
BCBS
| Professional | $21.82 | $25.54 | $25.98 | |
Cigna
| Professional | $26.63 | $26.89 | $33.81 | |
Medica
| Facility | $13.85 | $19.44 | $104.64 | |
Medica
| Professional | $9.53 | $13.47 | $20.20 | |
United
| Professional | $7.18 | $17.96 | $25.80 |